Standard comparison of local mental health care systems in eight European countries
| Autor: | REFINEMENT Group, Gutierrez-Colosia, Mencia R., Salvador-Carulla, Luis, Salinas-Pérez, J. A., García-Alonso, C. R., Cid, J., Salazzari, D., Montagni, Ilaria, Tedeschi, V., Cetrano, G., Chevreul, Karine, Kalseth, Jorid, Hagmair, G., Strassmayr, Christa, Park , A. L., Sfectu, Raluca, Ala-Nikkola, Taina, González-Caballero , J. L., Rabbi, L., Kalseth, Birgitte, Amaddeo, Francesco |
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| Přispěvatelé: | Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), [Gutiérrez-Colosía MR] PSICOST Research Association, Departamento de Psicología, Universidad Loyola Andalucía, Sevilla, Spain. [Salvador-Carulla L] Centre for Mental Health Research, Research School of Population Health College of Medicine, Biology and Environment, Australian National University, Research School of Population Health, Acton, Australia. [Salinas-Pérez JA] PSICOST Research Association, Departamento de Psicología, Universidad Loyola Andalucía, Sevilla, Spain. Departamento de Métodos Cuantitativos, Universidad Loyola Andalucía, Sevilla, Spain. [García-Alonso CR] Departamento de Métodos Cuantitativos, Universidad Loyola Andalucía, Sevilla, Spain. [Cid Colom J] Grup de Recerca en Salut Mental i Addiccions, (IDIBGI), Institut d’Assistència Sanitària, Salt, Spain. [Salazzari D] Section of Psychiatry, Department of Neurological, Biomedical and Movement Sciences, University of Verona, Italy, Institut d'Assistència Sanitària, Clinicum, Department of Psychiatry, HUS Psychiatry |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Epidemiology
Serveis comunitaris de salut disciplinas y actividades conductuales::servicios de salud mental [PSIQUIATRÍA Y PSICOLOGÍA] Efficiency Organizational Ambulatory Care Facilities Care provision 3124 Neurology and psychiatry Residential Facilities 0302 clinical medicine RA0421 Public health. Hygiene. Preventive Medicine Eficàcia organitzativa main type of care 030212 general & internal medicine Socioeconomics media_common INSTRUMENT Community-balanced care Mental Disorders Behavioral Disciplines and Activities::Mental Health Services [PSYCHIATRY AND PSYCHOLOGY] Health Services Administration::Organization and Administration::Efficiency::Efficiency Organizational [HEALTH CARE] 3. Good health Policy planning Europe Psychiatry and Mental health Mental Health Geography INSTITUTIONS Mental health care instalaciones servicios y personal de asistencia sanitaria::servicios de salud::Servicios de Salud Comunitaria [ATENCIÓN DE SALUD] Adult Mental Health Services media_common.quotation_subject administración de los servicios de salud::organización y administración::eficiencia::eficiencia organizacional [ATENCIÓN DE SALUD] Scarcity 03 medical and health sciences Mental Health System Equipaments de salut mental Humans mental health care comparison Public Health Environmental and Occupational Health Original Articles SERVICES Mental health 030227 psychiatry Context analysis Long-term care SIZE Health Care Facilities Manpower and Services::Health Services::Community Health Services [HEALTH CARE] [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie |
| Zdroj: | Epidemiology and Psychiatric Sciences Epidemiology and Psychiatric Sciences, Cambridge : Cambridge University Press, 2019, 28 (2), pp.210-223. ⟨10.1017/s2045796017000415⟩ Gutiérrez-Colosía, M R, Salvador-Carulla, L, Salinas-Pérez, J A, García-Alonso, C R, Cid, J, Salazzari, D, Montagni, I, Tedeschi, F, Cetrano, G, Chevreul, K, Kalseth, J, Hagmair, G, Straßmayr, C, Park, A L, Sfectu, R, Ala-Nikkola, T, González-Caballero, J L, Rabbi, L, Kalseth, B & Amaddeo, F 2017, ' Standard comparison of local mental health care systems in eight European countries ', Epidemiology And Psychiatric Sciences . https://doi.org/10.1017/S2045796017000415 Scientia |
| ISSN: | 2045-7960 2045-7979 |
| Popis: | Sistema de Salut Mental; Comparació d'atenció a la salut mental Mental Health System; Mental health care comparison Sistema de Salud Mental; Comparación de atención a la salud mental Aims: There is a need of more quantitative standardised data to compare local Mental Health Systems (MHSs) across international jurisdictions. Problems related to terminological variability and commensurability in the evaluation of services hamper like-with-like comparisons and hinder the development of work in this area. This study was aimed to provide standard assessment and comparison of MHS in selected local areas in Europe, contributing to a better understanding of MHS and related allocation of resources at local level and to lessen the scarcity in standard service comparison in Europe. This study is part of the Seventh Framework programme REFINEMENT (Research on Financing Systems' Effect on the Quality of Mental Health Care in Europe) project. Methods: A total of eight study areas from European countries with different systems of care (Austria, England, Finland, France, Italy, Norway, Romania, Spain) were analysed using a standard open-access classification system (Description and Evaluation of Services for Long Term Care in Europe, DESDE-LTC). All publicly funded services universally accessible to adults (≥18 years) with a psychiatric disorder were coded. Care availability, diversity and capacity were compared across these eight local MHS. Results: The comparison of MHS revealed more community-oriented delivery systems in the areas of England (Hampshire) and Southern European countries (Verona - Italy and Girona - Spain). Community-oriented systems with a higher proportion of hospital care were identified in Austria (Industrieviertel) and Scandinavian countries (Sør-Trøndelag in Norway and Helsinki-Uusimaa in Finland), while Loiret (France) was considered as a predominantly hospital-based system. The MHS in Suceava (Romania) was still in transition to community care. Conclusions: There is a significant variation in care availability and capacity across MHS of local areas in Europe. This information is relevant for understanding the process of implementation of community-oriented mental health care in local areas. Standard comparison of care provision in local areas is important for context analysis and policy planning. The REFINEMENT project has received funding from the European Commission under the Seventh Framework Programme (7FP) and lies within the Specific Programme ‘Cooperation’ – Theme ‘Health’: HEALTH.2010.3.2–1: Financing systems’ effect on quality of health care. Duration: 1 January 2011 to 31 December 2013. 7FP. Project number: 261459. |
| Databáze: | OpenAIRE |
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